Academy of Medical Sciences of the I.R. IranArchives of Iranian Medicine1029-2977211220181201Complications of Fusionless Correction of Early Onset Scoliosis Using Dual Growing Rods595599ENFarshadNikoueiHasanGhandhariEbrahimAmeriSeyed ManiMahdaviMaryamAmeriFarshadSafdariJournal Article2018092320181003Background: Growing rods are increasingly used for treatment of early onset scoliosis (EOS) worldwide. Beside promising
outcomes, some authors are concerned about high rates of complications. In the current clinical trial, complications of EOS
surgery using dual growing rods were investigated.
Methods: Between June 2006 and February 2017, twenty-two consecutive patients with a coronal curve >45 degrees underwent
serial surgical correction using dual growing rods at Shafa Orthopedic hospital, Tehran, I.R. Iran. The rods were secured using
hooks or screws or both. The patients were followed for 5.2 ± 1.7 years on average. Wilcoxon test was utilized to compare the
pre- and post-operative values. P < 0.05 was considered significant.
Results: The scoliotic and kyphotic curves decreased significantly from 52 ± 24° to 38 ± 19° and from 78 ± 22° to 60 ± 17°,
respectively (P < 0.001). Total rate of implant-related complications (IRCs) and surgical site complications (SSCs) were 54.5% (12
patients) and 22.7% (5 patients), respectively. Malpositioned pedicular screw was found in 2 patients.
Conclusion: EOS can be effectively corrected using dual growing rods, however, considerable rates of IRC are of concern (54.5%).
It seems necessary to compare the efficacy and complication rate of newer devices with those of growing rods in future studies
Complication
Early onset scoliosis
Fusionless surgery
Growing rod
Young children